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Gender gap in schooling: Is there a role for health insurance?

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  • Manini Ojha

Abstract

Sudden health shocks may be devastating if their consequences are transferred to human capital formation of children, especially in families that are unable to access affordable healthcare. As such, access to health insurance may play a role in determining schooling decisions. I examine the impact of India's national health insurance scheme (RSBY) on gender differences in school enrolments in this paper. Employing difference‐in‐differences and triple differences approaches, I find that RSBY reduces the gender gap in school enrolments. Therefore, while RSBY was implemented with the aim of reducing financial burden for the poor, I find evidence that it has unintended positive consequences for girls in particular.

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  • Manini Ojha, 2022. "Gender gap in schooling: Is there a role for health insurance?," Journal of International Development, John Wiley & Sons, Ltd., vol. 34(1), pages 29-54, January.
    • Handle: RePEc:wly:jintdv:v:34:y:2022:i:1:p:29-54
    DOI: 10.1002/jid.3580
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    1. Peter J. Glick & David E. Sahn & Thomas F. Walker, 2016. "Household Shocks and Education Investments in Madagascar," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 78(6), pages 792-813, December.
    2. Janet Currie & Jonathan Gruber, 1996. "Health Insurance Eligibility, Utilization of Medical Care, and Child Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 431-466.
    3. Jean Drèze & Geeta Gandhi Kingdon, 2001. "School Participation in Rural India," Review of Development Economics, Wiley Blackwell, vol. 5(1), pages 1-24, February.
    4. Peter Hangoma & Arild Aakvik & Bjarne Robberstad, 2018. "Health Shocks and Household Welfare in Zambia: An Assessment of Changing Risk," Journal of International Development, John Wiley & Sons, Ltd., vol. 30(5), pages 790-817, July.
    5. Fabre, Alice & Pallage, Stéphane, 2015. "Child labor, idiosyncratic shocks, and social policy," Journal of Macroeconomics, Elsevier, vol. 45(C), pages 394-411.
    6. Hanan G. Jacoby & Emmanuel Skoufias, 1997. "Risk, Financial Markets, and Human Capital in a Developing Country," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 64(3), pages 311-335.
    7. Hazarika, Gautam & Sarangi, Sudipta, 2008. "Household Access to Microcredit and Child Work in Rural Malawi," World Development, Elsevier, vol. 36(5), pages 843-859, May.
    8. Bratti, Massimiliano & Mendola, Mariapia, 2014. "Parental health and child schooling," Journal of Health Economics, Elsevier, vol. 35(C), pages 94-108.
    9. Sarmistha Pal, 2004. "How Much of the Gender Difference in Child School Enrolment Can Be Explained? Evidence from Rural India," Bulletin of Economic Research, Wiley Blackwell, vol. 56(2), pages 133-158, April.
    10. Hazarika, Gautam & Guha-Khasnobis, Basudeb, 2008. "Household Access to Microcredit and Children's Food Security in Rural Malawi: A Gender Perspective," IZA Discussion Papers 3793, Institute of Labor Economics (IZA).
    11. Chen, Yuyu & Jin, Ginger Zhe, 2012. "Does health insurance coverage lead to better health and educational outcomes? Evidence from rural China," Journal of Health Economics, Elsevier, vol. 31(1), pages 1-14.
    12. Skoufias, Emmanuel, 1993. "Labor market opportunities and intrafamily time allocation in rural households in South Asia," Journal of Development Economics, Elsevier, vol. 40(2), pages 277-310, April.
    13. Liu, Hong & Zhao, Zhong, 2014. "Does health insurance matter? Evidence from China’s urban resident basic medical insurance," Journal of Comparative Economics, Elsevier, vol. 42(4), pages 1007-1020.
    14. Deepa Narayan & Robert Chambers & Meera K. Shah & Patti Petesch, 2000. "Voices of the Poor : Crying Out for Change," World Bank Publications - Books, The World Bank Group, number 13848, December.
    15. Shelley Clark, 2000. "Son preference and sex composition of children: Evidence from india," Demography, Springer;Population Association of America (PAA), vol. 37(1), pages 95-108, February.
    16. Arindam Nandi & Ashvin Ashok & Ramanan Laxminarayan, 2013. "The Socioeconomic and Institutional Determinants of Participation in India’s Health Insurance Scheme for the Poor," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-13, June.
    17. Janet Currie & Mark Stabile & Phongsack Manivong & Leslie L. Roos, 2010. "Child Health and Young Adult Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    18. Sun, Ang & Yao, Yang, 2010. "Health shocks and children's school attainments in rural China," Economics of Education Review, Elsevier, vol. 29(3), pages 375-382, June.
    19. Ahmed Shoukry Rashad & Mesbah Fathy Sharaf & Elhussien Ibrahim Mansour, 2019. "Does Public Health Insurance Increase Maternal Health Care Utilization in Egypt?," Journal of International Development, John Wiley & Sons, Ltd., vol. 31(6), pages 516-520, August.
    20. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    21. Silvia Helena Barcellos & Leandro S. Carvalho & Adriana Lleras-Muney, 2014. "Child Gender and Parental Investments in India: Are Boys and Girls Treated Differently?," American Economic Journal: Applied Economics, American Economic Association, vol. 6(1), pages 157-189, January.
    22. Duraisamy, P., 1992. "Gender, Intrafamily Allocation of Resources and Child Schooling in South India," Papers 667, Yale - Economic Growth Center.
    23. Bhalotra, Sonia & Rawlings, Samantha B., 2011. "Intergenerational persistence in health in developing countries: The penalty of gender inequality?," Journal of Public Economics, Elsevier, vol. 95(3-4), pages 286-299, April.
    24. Sonia Bhalotra & Cliff Attfield, 1998. "Intrahousehold resource allocation in rural Pakistan: a semiparametric analysis," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 13(5), pages 463-480.
    25. Harold Alderman & Jere R. Behrman & David R. Ross & Richard Sabot, 1996. "Decomposing the Gender Gap in Cognitive Skills in a Poor Rural Economy," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 229-254.
    26. Jeffrey M. Wooldridge, 2015. "Control Function Methods in Applied Econometrics," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 420-445.
    27. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    28. Alderman, Harold & King, Elizabeth M., 1998. "Gender differences in parental investment in education," Structural Change and Economic Dynamics, Elsevier, vol. 9(4), pages 453-468, December.
    29. Paul Schultz, T., 2002. "Why Governments Should Invest More to Educate Girls," World Development, Elsevier, vol. 30(2), pages 207-225, February.
    30. Erlend Berg & Maitreesh Ghatak & R Manjula & D Rajasekhar & Sanchari Roy, 2011. "Implementing Health Insurance For The Poor: The Rollout Of Rsby In Karnataka," STICERD - Economic Organisation and Public Policy Discussion Papers Series 025, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
    31. Azam, Mehtabul, 2018. "Does Social Health Insurance Reduce Financial Burden? Panel Data Evidence from India," World Development, Elsevier, vol. 102(C), pages 1-17.
    32. Deborah LEVISON & Jasper HOEK & David LAM & Suzanne DURYEA, 2007. "Intermittent child employment and its implications for estimates of child labour," International Labour Review, International Labour Organization, vol. 146(3-4), pages 217-251, September.
    33. Christopher F Baum, 2013. "Implementing new econometric tools in Stata," Mexican Stata Users' Group Meetings 2013 09, Stata Users Group.
    34. Anup Karan & Sakthivel Selvaraj & Ajay Mahal, 2014. "Moving to Universal Coverage? Trends in the Burden of Out-Of-Pocket Payments for Health Care across Social Groups in India, 1999–2000 to 2011–12," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-13, August.
    35. Song, Lina & Appleton, Simon & Knight, John, 2006. "Why Do Girls in Rural China Have Lower School Enrollment?," World Development, Elsevier, vol. 34(9), pages 1639-1653, September.
    36. Duryea, Suzanne & Lam, David & Levison, Deborah, 2007. "Effects of economic shocks on children's employment and schooling in Brazil," Journal of Development Economics, Elsevier, vol. 84(1), pages 188-214, September.
    37. Katz, Elizabeth G., 1995. "Gender and trade within the household: Observations from rural guatemala," World Development, Elsevier, vol. 23(2), pages 327-342, February.
    38. Ravi, Shamika & Bergkvist, Soft, 2015. "Are Publicly Financed Health Insurance Schemes Working in India?," India Policy Forum, National Council of Applied Economic Research, vol. 11(1), pages 158-192.
    39. Krishna, Anirudh, 2004. "Escaping Poverty and Becoming Poor: Who Gains, Who Loses, and Why?," World Development, Elsevier, vol. 32(1), pages 121-136, January.
    40. Behrman, Jere R & Knowles, James C, 1999. "Household Income and Child Schooling in Vietnam," The World Bank Economic Review, World Bank, vol. 13(2), pages 211-256, May.
    41. Andrew Dillon, 2013. "Child Labour and Schooling Responses to Production and Health Shocks in Northern Mali-super- †," Journal of African Economies, Centre for the Study of African Economies, vol. 22(2), pages 276-299, March.
    42. Kingdon, Geeta Gandhi, 2005. "Where Has All the Bias Gone? Detecting Gender Bias in the Intrahousehold Allocation of Educational Expenditure," Economic Development and Cultural Change, University of Chicago Press, vol. 53(2), pages 409-451, January.
    43. Beegle, Kathleen & Dehejia, Rajeev H. & Gatti, Roberta, 2006. "Child labor and agricultural shocks," Journal of Development Economics, Elsevier, vol. 81(1), pages 80-96, October.
    44. Rosenzweig, Mark R & Schultz, T Paul, 1982. "Market Opportunities, Genetic Endowments, and Intrafamily Resource Distribution: Child Survival in Rural India," American Economic Review, American Economic Association, vol. 72(4), pages 803-815, September.
    45. Behrman, Jere R, 1996. "The Impact of Health and Nutrition on Education," The World Bank Research Observer, World Bank, vol. 11(1), pages 23-37, February.
    46. Alam, Shamma Adeeb, 2015. "Parental health shocks, child labor and educational outcomes: Evidence from Tanzania," Journal of Health Economics, Elsevier, vol. 44(C), pages 161-175.
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    Cited by:

    1. Rashid Javed & Mazhar Mughal, 2022. "Changing patterns of son preference and fertility in Pakistan," Journal of International Development, John Wiley & Sons, Ltd., vol. 34(6), pages 1086-1109, August.

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